inventory.doc - Schedule B – Per

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inventory.doc - Schedule B – Per Powered By Docstoc
					                                  Debtor’s Worksheet for Personal Property
      Please indicate how many of each item you own, and their values. Note if any asset is owned by only
      husband or wife, or by another person (as opposed to having been acquired jointly by husband and wife)


        1.       Living Room            ___ Microwave Oven           $________
                                        ___ Toaster Oven             $________   Patio or Pool Area Total   $________
___ Sofa                   $________    ___ TV (size ____”)          $________
___ Armchair               $________    ___ Crystal pieces           $________           6.       Master Bedroom
___ Loveseat               $________    ___ Sterling silver pieces   $________
___ Cocktail Table         $________    ___ Dishes, Pots/pans,                   ___ Mattress and/or Box
___ End Table              $________        flatware, etc.           $________       Frame                  $________
___ Picture                $________    ___ __________               $________   ___ Waterbed               $________
___ Lamp                   $________    ___ __________               $________   ___ Headboard              $________
___Credenza                $________    ___ __________               $________   ___ Dresser/Bureau         $________
___ Bookcase               $________                                             ___ Night Table            $________
___ Desk                   $________    Room Total                   $________   ___ Other Table            $________
___ Wall Unit              $________                                             ___ Lamp                   $________
___ Bar                    $________             4.       Family Room            ___ Vanity                 $________
___ Piano                  $________                                             ___ Chair                  $________
___ Organ                  $________    ___ Sofa Bed                 $________   ___ Ottoman or Footstool   $________
___ Drapes                 $________    ___ Sofa                     $________   ___ Mirror                 $________
___ Recliner               $________    ___ Loveseat                 $________   ___ Picture                $________
___ Painting               $________    ___ Coffee Table             $________   ___ Chest                  $________
___ Plant                  $________    ___ Cocktail Table           $________   ___ TV (size ___”)         $________
___ Area Rug               $________    ___ Other Table              $________   ___ VCR                    $________
___ _______________        $________    ___ Recliner                 $________   ___ Bedspread/pillow set   $________
___ _______________        $________    ___ Chair                    $________   ___ Area rug               $________
___ _______________        $________    ___ Desk                     $________   ___ __________             $________
Room Total                 $________    ___ Lamp                     $________   ___ __________             $________
                                        ___ Bookcase/Etagere         $________
        2.       Dining Room            ___ Entertainment Center     $________   Room Total                 $________
                                        ___ TV (size ____”)          $________
___ Dining Table           $________    ___ VCR                      $________           7.       Bedroom #2 (          )
___ Dining Chair           $________    ___ CD Player/Stereo         $________
___ Etagere                $________    ___ Painting                 $________   ___ Mattress and/or Box
___ Buffet                 $________    ___ Plant                    $________       Frame                  $________
___ China Cabinet          $________    ___ Telephone                $________   ___ Waterbed               $________
___ Picture                $________    ___ Answering Machine        $________   ___ Headboard              $________
___ Plant                  $________    ___ Area Rug                 $________   ___ Dresser/Bureau         $________
___ Armoire                $________    ___ __________               $________   ___ Night Table            $________
___ Area Rug               $________    ___ __________               $________   ___ Other Table            $________
___ __________ ____        $________                                             ___ Lamp                   $________
___ __________ ____        $________    Room Total                   $________   ___ Vanity                 $________
___ ______________         $________                                             ___ Chair                  $________
                                                 5.       Patio or Pool Area     ___ Ottoman or Footstool   $________
Room Total                 $________                                             ___ Mirror                 $________
                                        ___ Patio Table              $________   ___ Picture                $________
        3.       Kitchen                ___ Lounge Chair             $________   ___ Chest                  $________
                                        ___ Patio Chair              $________   ___ TV (size ___”)         $________
___ Dinette Table/Chairs   $________    ___ Umbrella                 $________   ___ VCR                    $________
___ Kitchen Clock          $________    ___ Grill                    $________   ___ Bedspread/pillow set   $________
___ Dishwasher             $________    ___ __________               $________   ___ Area rug               $________
___ Refrigerator           $________    ___ __________               $________   ___ __________             $________
___ Stove/Oven             $________    ___ __________               $________
 ___ __________             $________       ___ Picture                $________   ___ VCR or DVD player $________
                                            ___ Chest                  $________   ___ Video game system $________
 Bedroom #2 Total           $________       ___ TV (size ___”)         $________   ___ Videotapes              $________
                                            ___ VCR                    $________   ___ CDs, cassette tapes $________
         8.   Bedroom #3 (              )   ___ Bedspread/pillow set   $________   ___ Books                   $________
                                            ___ Area rug               $________   ___ Vacuum cleaner          $________
 ___ Mattress and/or Box                    ___ __________             $________   ___ Computer                $________
     Frame                  $________       ___ __________             $________   ___ Computer peripherals $________
 ___ Waterbed               $________                                              ___ Printer/Scanner         $________
 ___ Headboard              $________       Bedroom #4 Total           $________   ___ Photocopier             $________
 ___ Dresser/Bureau         $________                                              ___ Fax machine             $________
 ___ Night Table            $________               10.   Bedroom #5 (         )   ___ Typewriter              $________
 ___ Other Table            $________                                              ___ Telephone               $________
 ___ Lamp                   $________       ___ Mattress and/or Box                ___ Cell phone              $________
 ___ Vanity                 $________           Frame                  $________   ___ Filing cabinet          $________
 ___ Chair                  $________       ___ Waterbed               $________   ___ Safe or lockbox         $________
 ___ Ottoman or Footstool   $________       ___ Headboard              $________   ___ Baby furniture, toys,
 ___ Mirror                 $________       ___ Dresser/Bureau         $________       playpen, etc.           $________
 ___ Picture                $________       ___ Night Table            $________   ___ Sewing machine          $________
 ___ Chest                  $________       ___ Other Table            $________   ___ Bicycle                 $________
 ___ TV (size ___”)         $________       ___ Lamp                   $________   ___ Exercise equipment $________
 ___ VCR                    $________       ___ Vanity                 $________   ___ Other sporting equip. $________
 ___ Bedspread/pillow set   $________       ___ Chair                  $________   ___ Luggage                 $________
 ___ Area rug               $________       ___ Ottoman or Footstool   $________   ___ Hand tools              $________
 ___ __________             $________       ___ Mirror                 $________   ___ Power tools             $________
 ___ __________             $________       ___ Picture                $________   ___ Tool cabinet            $________
                                            ___ Chest                  $________   ___ Antiques (specify types:
 Bedroom #3 Total           $________       ___ TV (size ___”)         $________       ________________) $________
                                            ___ VCR                    $________       ________________) $________
         9.   Bedroom #4 (          )       ___ Bedspread/pillow set   $________   ___ Collectibles (specify types:
                                            ___ Area rug               $________       ________________) $________
 ___ Mattress and/or Box                    ___ __________             $________       ________________) $________
     Frame                  $________       ___ __________             $________   ___ Sculpture/Other Art $________
 ___ Waterbed               $________                                              ___ Musical instruments $________
 ___ Headboard              $________       Bedroom #5 Total           $________   ___ Lawn mower              $________
 ___ Dresser/Bureau         $________                                              ___ Garden equipment        $________
 ___ Night Table            $________         11. Items Not Otherwise Listed       ___ Storage facility
 ___ Other Table            $________                                                  contents                $________
 ___ Lamp                   $________       ___ Washer                 $________   ___ ___________             $________
 ___ Vanity                 $________       ___ Dryer                  $________   ___ ___________             $________
 ___ Chair                  $________       ___ Freezer                $________   ___ ___________             $________
 ___ Ottoman or Footstool   $________       ___ Compactor              $________
 ___ Mirror                 $________       ___ TV (size___”)          $________   Other Items Total         $________

_______________________________________________________________________________________


________________________________________________
Signature of Debtor                       Date


________________________________________________
Signature of Co-Debtor                    Date
B015




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